diff --git a/apps/Frontend/src/components/chart/lab-management-tab.jsx b/apps/Frontend/src/components/chart/lab-management-tab.jsx
index 160f69e6..fc26442d 100644
--- a/apps/Frontend/src/components/chart/lab-management-tab.jsx
+++ b/apps/Frontend/src/components/chart/lab-management-tab.jsx
@@ -1,258 +1,81 @@
 import { useState } from "react";
 import { Button } from "@/components/ui/button";
-import { Input } from "@/components/ui/input";
-import { Label } from "@/components/ui/label";
-import { Textarea } from "@/components/ui/textarea";
-import { Badge } from "@/components/ui/badge";
-import { Select, SelectContent, SelectItem, SelectTrigger, SelectValue, } from "@/components/ui/select";
-import { Table, TableBody, TableCell, TableHead, TableHeader, TableRow, } from "@/components/ui/table";
-import { Dialog, DialogContent, DialogHeader, DialogTitle, DialogFooter, } from "@/components/ui/dialog";
-import { Plus, Pencil, Trash2, Package } from "lucide-react";
-const STATUS_COLORS = {
-    pending: "bg-yellow-100 text-yellow-700 border-yellow-200",
-    "in-lab": "bg-blue-100 text-blue-700 border-blue-200",
-    received: "bg-green-100 text-green-700 border-green-200",
-    delivered: "bg-gray-100 text-gray-600 border-gray-200",
-    cancelled: "bg-red-100 text-red-600 border-red-200",
-};
-const STATUS_LABELS = {
-    pending: "Pending",
-    "in-lab": "In Lab",
-    received: "Received",
-    delivered: "Delivered",
-    cancelled: "Cancelled",
-};
-const CASE_TYPES = [
-    "Crown – PFM",
-    "Crown – All Ceramic",
-    "Crown – Zirconia",
-    "Crown – Gold",
-    "Bridge – PFM",
-    "Bridge – Zirconia",
-    "Implant Crown",
-    "Implant Abutment",
-    "Veneer",
-    "Inlay / Onlay",
-    "Full Denture (Upper)",
-    "Full Denture (Lower)",
-    "Partial Denture",
-    "Night Guard",
-    "Bleaching Tray",
-    "Retainer",
-    "Diagnostic Model",
-    "Other",
-];
-const COMMON_LABS = [
-    "Dental Arts Lab",
-    "National Dentex",
-    "Glidewell Dental",
-    "Henry Schein Lab",
-    "Affordable Dentures Lab",
-    "Local Lab",
-];
-const SHADES = [
-    "A1", "A2", "A3", "A3.5", "A4",
-    "B1", "B2", "B3", "B4",
-    "C1", "C2", "C3", "C4",
-    "D2", "D3", "D4",
-    "BL1", "BL2", "BL3", "BL4",
-    "Custom",
-];
-let nextId = 1;
-const newOrder = () => ({
-    id: nextId++,
-    orderDate: new Date().toISOString().substring(0, 10),
-    dueDate: "",
-    tooth: "",
-    caseType: "",
-    lab: "",
-    shade: "",
-    status: "pending",
-    rush: false,
-    notes: "",
-    trackingNumber: "",
-});
+import { Card, CardContent, CardDescription, CardHeader, CardTitle } from "@/components/ui/card";
+import { PatientTable } from "@/components/patients/patient-table";
+import { BarcodeModal } from "@/components/chart/barcode-modal";
+import { LabRxModal } from "@/components/chart/lab-rx-modal";
+import { Barcode, FileText } from "lucide-react";
+
 export function LabManagementTab() {
-    const [orders, setOrders] = useState([]);
-    const [dialogOpen, setDialogOpen] = useState(false);
-    const [editing, setEditing] = useState(newOrder());
-    const openAdd = () => {
-        setEditing(newOrder());
-        setDialogOpen(true);
-    };
-    const openEdit = (order) => {
-        setEditing({ ...order });
-        setDialogOpen(true);
-    };
-    const handleSave = () => {
-        setOrders((prev) => {
-            const idx = prev.findIndex((o) => o.id === editing.id);
-            if (idx >= 0) {
-                const next = [...prev];
-                next[idx] = editing;
-                return next;
-            }
-            return [...prev, editing];
-        });
-        setDialogOpen(false);
-    };
-    const handleDelete = (id) => {
-        setOrders((prev) => prev.filter((o) => o.id !== id));
-    };
-    const pending = orders.filter((o) => o.status === "pending" || o.status === "in-lab").length;
-    const rush = orders.filter((o) => o.rush && o.status !== "delivered" && o.status !== "cancelled").length;
-    return (<div className="space-y-4">
-      <div className="flex items-center justify-between">
-        <div className="flex gap-4 text-sm text-gray-600">
-          {pending > 0 && <span>Open orders: <strong>{pending}</strong></span>}
-          {rush > 0 && <span className="text-red-600">Rush: <strong>{rush}</strong></span>}
-          {orders.length === 0 && <span>No lab orders yet</span>}
-        </div>
-        <Button size="sm" onClick={openAdd} className="gap-1.5">
-          <Plus className="h-4 w-4"/>
-          New Lab Order
-        </Button>
-      </div>
+  const [selectedPatient, setSelectedPatient] = useState(null);
+  const [barcodeOpen, setBarcodeOpen] = useState(false);
+  const [labRxOpen, setLabRxOpen] = useState(false);
 
-      <div className="border rounded-lg overflow-hidden">
-        <Table>
-          <TableHeader>
-            <TableRow className="bg-gray-50">
-              <TableHead className="w-24">Order Date</TableHead>
-              <TableHead className="w-16">Tooth</TableHead>
-              <TableHead>Case Type</TableHead>
-              <TableHead>Lab</TableHead>
-              <TableHead className="w-16 text-center">Shade</TableHead>
-              <TableHead className="w-24">Due</TableHead>
-              <TableHead className="w-28">Status</TableHead>
-              <TableHead className="w-20 text-right">Actions</TableHead>
-            </TableRow>
-          </TableHeader>
-          <TableBody>
-            {orders.length === 0 ? (<TableRow>
-                <TableCell colSpan={8} className="text-center text-gray-400 py-10">
-                  <div className="flex flex-col items-center gap-2">
-                    <Package className="h-8 w-8 text-gray-300"/>
-                    <span>No lab orders yet. Click "New Lab Order" to add one.</span>
-                  </div>
-                </TableCell>
-              </TableRow>) : (orders.map((order) => (<TableRow key={order.id} className={order.rush ? "bg-red-50/40" : ""}>
-                  <TableCell className="text-sm">{order.orderDate}</TableCell>
-                  <TableCell className="font-mono text-sm">{order.tooth || "—"}</TableCell>
-                  <TableCell>
-                    <div className="flex items-center gap-1.5">
-                      <span className="text-sm font-medium">{order.caseType}</span>
-                      {order.rush && (<Badge className="text-[10px] bg-red-100 text-red-600 border-red-200 px-1 py-0" variant="outline">
-                          RUSH
-                        </Badge>)}
-                    </div>
-                    {order.notes && (<p className="text-xs text-gray-400 truncate max-w-xs mt-0.5">{order.notes}</p>)}
-                  </TableCell>
-                  <TableCell className="text-sm text-gray-600">{order.lab || "—"}</TableCell>
-                  <TableCell className="text-center text-sm">{order.shade || "—"}</TableCell>
-                  <TableCell className="text-sm text-gray-600">{order.dueDate || "—"}</TableCell>
-                  <TableCell>
-                    <Badge className={`text-xs border ${STATUS_COLORS[order.status]}`} variant="outline">
-                      {STATUS_LABELS[order.status]}
-                    </Badge>
-                  </TableCell>
-                  <TableCell>
-                    <div className="flex justify-end gap-1">
-                      <Button variant="ghost" size="icon" className="h-7 w-7" onClick={() => openEdit(order)}>
-                        <Pencil className="h-3.5 w-3.5"/>
-                      </Button>
-                      <Button variant="ghost" size="icon" className="h-7 w-7 text-red-500 hover:text-red-600 hover:bg-red-50" onClick={() => handleDelete(order.id)}>
-                        <Trash2 className="h-3.5 w-3.5"/>
-                      </Button>
-                    </div>
-                  </TableCell>
-                </TableRow>)))}
-          </TableBody>
-        </Table>
-      </div>
-
-      <Dialog open={dialogOpen} onOpenChange={setDialogOpen}>
-        <DialogContent className="max-w-lg">
-          <DialogHeader>
-            <DialogTitle>Lab Order</DialogTitle>
-          </DialogHeader>
-          <div className="grid grid-cols-2 gap-3 py-2">
-            <div className="space-y-1">
-              <Label className="text-xs">Order Date</Label>
-              <Input type="date" value={editing.orderDate} onChange={(e) => setEditing((d) => ({ ...d, orderDate: e.target.value }))} className="h-9 text-sm"/>
-            </div>
-            <div className="space-y-1">
-              <Label className="text-xs">Due Date</Label>
-              <Input type="date" value={editing.dueDate} onChange={(e) => setEditing((d) => ({ ...d, dueDate: e.target.value }))} className="h-9 text-sm"/>
-            </div>
-            <div className="space-y-1">
-              <Label className="text-xs">Tooth #</Label>
-              <Input placeholder="e.g. 14" value={editing.tooth} onChange={(e) => setEditing((d) => ({ ...d, tooth: e.target.value }))} className="h-9 text-sm"/>
-            </div>
-            <div className="space-y-1">
-              <Label className="text-xs">Shade</Label>
-              <Select value={editing.shade} onValueChange={(v) => setEditing((d) => ({ ...d, shade: v }))}>
-                <SelectTrigger className="h-9 text-sm">
-                  <SelectValue placeholder="Select..."/>
-                </SelectTrigger>
-                <SelectContent>
-                  {SHADES.map((s) => <SelectItem key={s} value={s}>{s}</SelectItem>)}
-                </SelectContent>
-              </Select>
-            </div>
-            <div className="col-span-2 space-y-1">
-              <Label className="text-xs">Case Type</Label>
-              <Select value={editing.caseType} onValueChange={(v) => setEditing((d) => ({ ...d, caseType: v }))}>
-                <SelectTrigger className="h-9 text-sm">
-                  <SelectValue placeholder="Select case type..."/>
-                </SelectTrigger>
-                <SelectContent>
-                  {CASE_TYPES.map((c) => <SelectItem key={c} value={c}>{c}</SelectItem>)}
-                </SelectContent>
-              </Select>
-            </div>
-            <div className="col-span-2 space-y-1">
-              <Label className="text-xs">Lab</Label>
-              <Select value={editing.lab} onValueChange={(v) => setEditing((d) => ({ ...d, lab: v }))}>
-                <SelectTrigger className="h-9 text-sm">
-                  <SelectValue placeholder="Select lab..."/>
-                </SelectTrigger>
-                <SelectContent>
-                  {COMMON_LABS.map((l) => <SelectItem key={l} value={l}>{l}</SelectItem>)}
-                </SelectContent>
-              </Select>
-            </div>
-            <div className="space-y-1">
-              <Label className="text-xs">Status</Label>
-              <Select value={editing.status} onValueChange={(v) => setEditing((d) => ({ ...d, status: v }))}>
-                <SelectTrigger className="h-9 text-sm">
-                  <SelectValue />
-                </SelectTrigger>
-                <SelectContent>
-                  {Object.keys(STATUS_LABELS).map((s) => (<SelectItem key={s} value={s}>{STATUS_LABELS[s]}</SelectItem>))}
-                </SelectContent>
-              </Select>
-            </div>
-            <div className="space-y-1">
-              <Label className="text-xs">Tracking #</Label>
-              <Input placeholder="Optional" value={editing.trackingNumber} onChange={(e) => setEditing((d) => ({ ...d, trackingNumber: e.target.value }))} className="h-9 text-sm"/>
-            </div>
-            <div className="col-span-2 flex items-center gap-2">
-              <input type="checkbox" id="rush" checked={editing.rush} onChange={(e) => setEditing((d) => ({ ...d, rush: e.target.checked }))} className="h-4 w-4 rounded border-gray-300"/>
-              <Label htmlFor="rush" className="text-sm cursor-pointer text-red-600 font-medium">
-                Rush Order
-              </Label>
-            </div>
-            <div className="col-span-2 space-y-1">
-              <Label className="text-xs">Notes</Label>
-              <Textarea placeholder="Special instructions, shade details..." value={editing.notes} onChange={(e) => setEditing((d) => ({ ...d, notes: e.target.value }))} className="text-sm resize-none" rows={2}/>
-            </div>
+  return (
+    <div className="space-y-6">
+      <Card>
+        <CardHeader>
+          <CardTitle>Lab Actions</CardTitle>
+          <CardDescription>
+            {selectedPatient
+              ? `Selected patient: ${selectedPatient.firstName} ${selectedPatient.lastName}`
+              : "Select a patient below to get started."}
+          </CardDescription>
+        </CardHeader>
+        <CardContent>
+          <div className="flex gap-4">
+            <Button
+              variant="outline"
+              className="gap-2"
+              disabled={!selectedPatient}
+              onClick={() => setBarcodeOpen(true)}
+            >
+              <Barcode className="h-4 w-4" />
+              Create a Barcode
+            </Button>
+            <Button
+              variant="outline"
+              className="gap-2"
+              disabled={!selectedPatient}
+              onClick={() => setLabRxOpen(true)}
+            >
+              <FileText className="h-4 w-4" />
+              Lab RX
+            </Button>
           </div>
-          <DialogFooter>
-            <Button variant="outline" onClick={() => setDialogOpen(false)}>Cancel</Button>
-            <Button onClick={handleSave} disabled={!editing.caseType}>Save</Button>
-          </DialogFooter>
-        </DialogContent>
-      </Dialog>
-    </div>);
+        </CardContent>
+      </Card>
+
+      <Card>
+        <CardHeader>
+          <CardTitle>Patient Records</CardTitle>
+          <CardDescription>Select a patient by clicking the checkbox.</CardDescription>
+        </CardHeader>
+        <CardContent>
+          <PatientTable
+            allowView={true}
+            allowDelete={false}
+            allowCheckbox={true}
+            allowEdit={false}
+            onSelectPatient={setSelectedPatient}
+          />
+        </CardContent>
+      </Card>
+
+      {selectedPatient && (
+        <>
+          <BarcodeModal
+            open={barcodeOpen}
+            onClose={() => setBarcodeOpen(false)}
+            patient={selectedPatient}
+          />
+          <LabRxModal
+            open={labRxOpen}
+            onClose={() => setLabRxOpen(false)}
+            patient={selectedPatient}
+          />
+        </>
+      )}
+    </div>
+  );
 }
diff --git a/apps/Frontend/src/components/chart/lab-rx-modal.jsx b/apps/Frontend/src/components/chart/lab-rx-modal.jsx
new file mode 100644
index 00000000..91cd17a1
--- /dev/null
+++ b/apps/Frontend/src/components/chart/lab-rx-modal.jsx
@@ -0,0 +1,596 @@
+import { useState, useRef } from "react";
+import { useQuery, useMutation, useQueryClient } from "@tanstack/react-query";
+import { apiRequest } from "@/lib/queryClient";
+import { useToast } from "@/hooks/use-toast";
+import {
+  Dialog,
+  DialogContent,
+  DialogHeader,
+  DialogTitle,
+  DialogFooter,
+} from "@/components/ui/dialog";
+import { Button } from "@/components/ui/button";
+import { Input } from "@/components/ui/input";
+import { Label } from "@/components/ui/label";
+import { Textarea } from "@/components/ui/textarea";
+import {
+  Select,
+  SelectContent,
+  SelectItem,
+  SelectTrigger,
+  SelectValue,
+} from "@/components/ui/select";
+import { Tabs, TabsContent, TabsList, TabsTrigger } from "@/components/ui/tabs";
+import { Plus, Pencil, Trash2, Printer, X, Check, FlaskConical, ChevronUp, ChevronDown } from "lucide-react";
+
+const EMPTY_TEMPLATE = {
+  name: "", labName: "", labPhone: "", labFax: "",
+  labAddress: "", labAccount: "", caseType: "", material: "", instructions: "Please make\nThank you!",
+};
+const EMPTY_RX = { toothNumbers: "", shade: "", dueDate: "", doctorName: "", additionalNotes: "Please make\nThank you!" };
+
+const CASE_TYPES = ["Crown", "Bridge", "Veneer", "Inlay/Onlay", "Full Denture", "Partial Denture", "Night Guard", "Retainer", "Implant Crown", "Other"];
+const MATERIALS = ["Zirconia", "PFM (Porcelain-Fused-to-Metal)", "E-Max", "Acrylic", "Cast Metal", "Composite", "PMMA", "Other"];
+
+export function LabRxModal({ open, onClose, patient }) {
+  const { toast } = useToast();
+  const queryClient = useQueryClient();
+  const printRef = useRef(null);
+
+  const [rxTemplate, setRxTemplate] = useState(null);
+  const [rx, setRx] = useState(EMPTY_RX);
+
+  const [renamingId, setRenamingId] = useState(null);
+  const [renameValue, setRenameValue] = useState("");
+
+  const [showTemplateForm, setShowTemplateForm] = useState(false);
+  const [editingTemplateId, setEditingTemplateId] = useState(null);
+  const [templateForm, setTemplateForm] = useState(EMPTY_TEMPLATE);
+
+  const { data: providers = [] } = useQuery({
+    queryKey: ["/api/npiProviders"],
+    queryFn: async () => {
+      const res = await apiRequest("GET", "/api/npiProviders");
+      if (!res.ok) throw new Error("Failed to fetch providers");
+      return res.json();
+    },
+    enabled: open,
+  });
+
+  const { data: templates = [], isLoading } = useQuery({
+    queryKey: ["/api/lab-rx/templates"],
+    queryFn: async () => {
+      const res = await apiRequest("GET", "/api/lab-rx/templates");
+      if (!res.ok) throw new Error("Failed to fetch");
+      return res.json();
+    },
+    enabled: open,
+  });
+
+  const invalidate = () => queryClient.invalidateQueries({ queryKey: ["/api/lab-rx/templates"] });
+
+  const createMutation = useMutation({
+    mutationFn: async (data) => {
+      const res = await apiRequest("POST", "/api/lab-rx/templates", data);
+      if (!res.ok) { const e = await res.json().catch(() => null); throw new Error(e?.message || "Failed to save"); }
+      return res.json();
+    },
+    onSuccess: () => { invalidate(); setShowTemplateForm(false); setTemplateForm(EMPTY_TEMPLATE); toast({ title: "Template saved" }); },
+    onError: (e) => toast({ title: "Error", description: e.message, variant: "destructive" }),
+  });
+
+  const updateMutation = useMutation({
+    mutationFn: async ({ id, data }) => {
+      const res = await apiRequest("PUT", `/api/lab-rx/templates/${id}`, data);
+      if (!res.ok) { const e = await res.json().catch(() => null); throw new Error(e?.message || "Failed to update"); }
+      return res.json();
+    },
+    onSuccess: () => { invalidate(); setEditingTemplateId(null); setTemplateForm(EMPTY_TEMPLATE); setShowTemplateForm(false); toast({ title: "Template updated" }); },
+    onError: (e) => toast({ title: "Error", description: e.message, variant: "destructive" }),
+  });
+
+  const renameMutation = useMutation({
+    mutationFn: async ({ id, name }) => {
+      const res = await apiRequest("PUT", `/api/lab-rx/templates/${id}`, { name });
+      if (!res.ok) { const e = await res.json().catch(() => null); throw new Error(e?.message || "Failed to rename"); }
+      return res.json();
+    },
+    onSuccess: () => { invalidate(); setRenamingId(null); },
+    onError: (e) => toast({ title: "Error", description: e.message, variant: "destructive" }),
+  });
+
+  const deleteMutation = useMutation({
+    mutationFn: async (id) => {
+      const res = await apiRequest("DELETE", `/api/lab-rx/templates/${id}`);
+      if (!res.ok) throw new Error("Failed to delete");
+    },
+    onSuccess: () => { invalidate(); toast({ title: "Template deleted" }); },
+    onError: (e) => toast({ title: "Error", description: e.message, variant: "destructive" }),
+  });
+
+  const reorderMutation = useMutation({
+    mutationFn: async (orderedIds) => {
+      const res = await apiRequest("POST", "/api/lab-rx/templates/reorder", { orderedIds });
+      if (!res.ok) throw new Error("Failed to reorder");
+    },
+    onSuccess: () => invalidate(),
+    onError: (e) => toast({ title: "Error", description: e.message, variant: "destructive" }),
+  });
+
+  const moveTemplate = (index, direction) => {
+    const swapIndex = direction === "up" ? index - 1 : index + 1;
+    const reordered = [...templates];
+    const a = reordered[index];
+    const b = reordered[swapIndex];
+    reordered[index] = b;
+    reordered[swapIndex] = a;
+    queryClient.setQueryData(["/api/lab-rx/templates"], reordered);
+    reorderMutation.mutate(reordered.map((t) => t.id));
+  };
+
+  const openRx = (t) => {
+    if (renamingId !== null) return;
+    setRxTemplate(t);
+    setRx({ ...EMPTY_RX, doctorName: providers[0]?.providerName ?? "" });
+  };
+
+  const startRename = (e, t) => {
+    e.stopPropagation();
+    setRenamingId(t.id);
+    setRenameValue(t.name);
+  };
+
+  const commitRename = () => {
+    if (!renameValue.trim()) { toast({ title: "Name cannot be empty", variant: "destructive" }); return; }
+    if (renamingId !== null) renameMutation.mutate({ id: renamingId, name: renameValue.trim() });
+  };
+
+  const cancelRename = () => setRenamingId(null);
+
+  const openAddTemplate = () => { setEditingTemplateId(null); setTemplateForm(EMPTY_TEMPLATE); setShowTemplateForm(true); };
+  const openEditTemplate = (t) => {
+    setEditingTemplateId(t.id);
+    setTemplateForm({ name: t.name, labName: t.labName ?? "", labPhone: t.labPhone ?? "", labFax: t.labFax ?? "", labAddress: t.labAddress ?? "", labAccount: t.labAccount ?? "", caseType: t.caseType ?? "", material: t.material ?? "", instructions: t.instructions ?? "" });
+    setShowTemplateForm(true);
+  };
+  const handleSaveTemplate = () => {
+    if (!templateForm.name.trim()) { toast({ title: "Template name is required", variant: "destructive" }); return; }
+    if (editingTemplateId !== null) updateMutation.mutate({ id: editingTemplateId, data: templateForm });
+    else createMutation.mutate(templateForm);
+  };
+  const isSaving = createMutation.isPending || updateMutation.isPending;
+
+  const handlePrint = () => {
+    const content = printRef.current;
+    if (!content || !rxTemplate) return;
+    const win = window.open("", "_blank", "width=800,height=900");
+    if (!win) return;
+    win.document.write(`<!DOCTYPE html><html><head><title>Lab RX</title>
+      <style>
+        body{font-family:Arial,sans-serif;margin:0;padding:24px;font-size:13px;color:#111}
+        h1{font-size:22px;margin:0 0 4px;text-align:center}
+        .subtitle{text-align:center;color:#555;font-size:12px;margin-bottom:12px}
+        hr{border:none;border-top:2px solid #000;margin:10px 0}
+        .section{margin-bottom:14px}
+        .section-title{font-weight:bold;font-size:11px;text-transform:uppercase;letter-spacing:.06em;border-bottom:1px solid #bbb;margin-bottom:8px;padding-bottom:3px;color:#333}
+        .row{display:flex;gap:24px;margin-bottom:6px}
+        .field{flex:1}
+        .field label{display:block;font-size:10px;color:#777;margin-bottom:1px}
+        .field span{display:block;border-bottom:1px solid #aaa;padding-bottom:2px;min-height:18px;font-size:13px}
+        .instructions-box{border:1px solid #bbb;padding:8px;min-height:64px;white-space:pre-wrap;font-size:12px}
+        .sig-area{display:flex;gap:48px;margin-top:32px}
+        .sig-line{border-top:1px solid #000;padding-top:3px;font-size:10px;color:#777;min-width:180px}
+        @media print{body{margin:0}}
+      </style>
+      </head><body>${content.innerHTML}</body></html>`);
+    win.document.close();
+    win.focus();
+    setTimeout(() => { win.print(); win.close(); }, 300);
+  };
+
+  const patientName = `${patient.firstName} ${patient.lastName}`;
+  const today = new Date().toLocaleDateString("en-US");
+
+  return (
+    <>
+      {/* Main modal */}
+      <Dialog open={open} onOpenChange={(v) => !v && onClose()}>
+        <DialogContent className="max-w-3xl max-h-[90vh] overflow-y-auto">
+          <DialogHeader>
+            <DialogTitle className="flex items-center gap-2">
+              <FlaskConical className="h-5 w-5" />
+              Lab RX — {patientName}
+            </DialogTitle>
+          </DialogHeader>
+
+          <Tabs defaultValue="rx">
+            <TabsList className="mb-4">
+              <TabsTrigger value="rx">Create Lab RX</TabsTrigger>
+              <TabsTrigger value="templates">Manage Templates</TabsTrigger>
+            </TabsList>
+
+            {/* Tab 1: pick template */}
+            <TabsContent value="rx" className="space-y-4">
+              <p className="text-xs font-medium text-gray-500 uppercase tracking-wide">
+                Click a template to create a Lab RX
+              </p>
+              {isLoading ? (
+                <p className="text-sm text-gray-400">Loading templates…</p>
+              ) : templates.length === 0 ? (
+                <p className="text-sm text-gray-400">No templates yet. Go to "Manage Templates" to add one.</p>
+              ) : (
+                <div className="grid grid-cols-1 sm:grid-cols-2 gap-3">
+                  {templates.map((t) => (
+                    <div
+                      key={t.id}
+                      onClick={() => openRx(t)}
+                      className="group relative border rounded-lg p-3 bg-white cursor-pointer hover:border-blue-400 hover:shadow-sm transition-all"
+                    >
+                      {renamingId === t.id ? (
+                        <div className="flex items-center gap-1" onClick={(e) => e.stopPropagation()}>
+                          <Input
+                            autoFocus
+                            value={renameValue}
+                            onChange={(e) => setRenameValue(e.target.value)}
+                            onKeyDown={(e) => { if (e.key === "Enter") commitRename(); if (e.key === "Escape") cancelRename(); }}
+                            className="h-7 text-sm font-medium"
+                          />
+                          <Button variant="ghost" size="icon" className="h-6 w-6 shrink-0 text-green-600" onClick={commitRename} disabled={renameMutation.isPending}>
+                            <Check className="h-3.5 w-3.5" />
+                          </Button>
+                          <Button variant="ghost" size="icon" className="h-6 w-6 shrink-0" onClick={cancelRename}>
+                            <X className="h-3.5 w-3.5" />
+                          </Button>
+                        </div>
+                      ) : (
+                        <div className="flex items-start justify-between gap-2">
+                          <div className="min-w-0">
+                            <p className="font-semibold text-sm text-gray-900 truncate">{t.name}</p>
+                            {t.labName && <p className="text-xs text-gray-500 mt-0.5">{t.labName}</p>}
+                            <div className="flex flex-wrap gap-x-3 gap-y-0.5 mt-1 text-xs text-gray-400">
+                              {t.caseType && <span>{t.caseType}</span>}
+                              {t.material && <span>{t.material}</span>}
+                            </div>
+                          </div>
+                          <button
+                            title="Rename template"
+                            onClick={(e) => startRename(e, t)}
+                            className="shrink-0 p-1 rounded opacity-0 group-hover:opacity-100 hover:bg-gray-100 transition-opacity"
+                          >
+                            <Pencil className="h-3.5 w-3.5 text-gray-400" />
+                          </button>
+                        </div>
+                      )}
+                    </div>
+                  ))}
+                </div>
+              )}
+            </TabsContent>
+
+            {/* Tab 2: manage templates */}
+            <TabsContent value="templates" className="space-y-4">
+              <div className="flex items-center justify-between">
+                <p className="text-sm text-gray-500">{templates.length} template{templates.length !== 1 ? "s" : ""}</p>
+                <Button size="sm" onClick={openAddTemplate} className="gap-1.5">
+                  <Plus className="h-4 w-4" /> Add Template
+                </Button>
+              </div>
+
+              {showTemplateForm && (
+                <div className="border rounded-lg overflow-hidden">
+                  <div className="bg-gray-100 border-b px-4 py-2.5">
+                    <p className="text-sm font-semibold text-gray-800">
+                      {editingTemplateId !== null ? "Edit Template" : "New Template"}
+                    </p>
+                  </div>
+                  <div className="p-4 space-y-5 bg-white">
+
+                    {/* Template Name section */}
+                    <div className="space-y-2">
+                      <div className="flex items-center gap-2">
+                        <p className="text-xs font-bold uppercase tracking-widest text-blue-600">Template Name</p>
+                        <div className="flex-1 h-px bg-blue-100" />
+                      </div>
+                      <div className="space-y-1">
+                        <Label className="text-xs text-gray-600">Name <span className="text-red-500">*</span></Label>
+                        <Input
+                          placeholder="e.g. Glidewell Crown, Argen Bridge…"
+                          value={templateForm.name}
+                          onChange={(e) => setTemplateForm((f) => ({ ...f, name: e.target.value }))}
+                          className="h-9 text-sm"
+                        />
+                        <p className="text-xs text-gray-400">This name appears on the template picker button.</p>
+                      </div>
+                    </div>
+
+                    {/* Lab Information section */}
+                    <div className="space-y-2">
+                      <div className="flex items-center gap-2">
+                        <p className="text-xs font-bold uppercase tracking-widest text-gray-500">Lab Information</p>
+                        <div className="flex-1 h-px bg-gray-200" />
+                      </div>
+                      <div className="grid grid-cols-2 gap-3">
+                        <div className="space-y-1">
+                          <Label className="text-xs text-gray-600">Lab Name</Label>
+                          <Input placeholder="e.g. Glidewell Dental" value={templateForm.labName} onChange={(e) => setTemplateForm((f) => ({ ...f, labName: e.target.value }))} className="h-9 text-sm" />
+                        </div>
+                        <div className="space-y-1">
+                          <Label className="text-xs text-gray-600">Account #</Label>
+                          <Input placeholder="e.g. 123456" value={templateForm.labAccount} onChange={(e) => setTemplateForm((f) => ({ ...f, labAccount: e.target.value }))} className="h-9 text-sm" />
+                        </div>
+                        <div className="space-y-1">
+                          <Label className="text-xs text-gray-600">Phone</Label>
+                          <Input placeholder="(800) 000-0000" value={templateForm.labPhone} onChange={(e) => setTemplateForm((f) => ({ ...f, labPhone: e.target.value }))} className="h-9 text-sm" />
+                        </div>
+                        <div className="space-y-1">
+                          <Label className="text-xs text-gray-600">Fax</Label>
+                          <Input placeholder="(800) 000-0001" value={templateForm.labFax} onChange={(e) => setTemplateForm((f) => ({ ...f, labFax: e.target.value }))} className="h-9 text-sm" />
+                        </div>
+                        <div className="col-span-2 space-y-1">
+                          <Label className="text-xs text-gray-600">Address</Label>
+                          <Input placeholder="123 Lab St, City, State 00000" value={templateForm.labAddress} onChange={(e) => setTemplateForm((f) => ({ ...f, labAddress: e.target.value }))} className="h-9 text-sm" />
+                        </div>
+                      </div>
+                    </div>
+
+                    {/* Default Case Details section */}
+                    <div className="space-y-2">
+                      <div className="flex items-center gap-2">
+                        <p className="text-xs font-bold uppercase tracking-widest text-gray-500">Default Case Details</p>
+                        <div className="flex-1 h-px bg-gray-200" />
+                      </div>
+                      <div className="grid grid-cols-2 gap-3">
+                        <div className="space-y-1">
+                          <Label className="text-xs text-gray-600">Case Type</Label>
+                          <Select value={templateForm.caseType} onValueChange={(v) => setTemplateForm((f) => ({ ...f, caseType: v }))}>
+                            <SelectTrigger className="h-9 text-sm"><SelectValue placeholder="Select…" /></SelectTrigger>
+                            <SelectContent>{CASE_TYPES.map((c) => <SelectItem key={c} value={c}>{c}</SelectItem>)}</SelectContent>
+                          </Select>
+                        </div>
+                        <div className="space-y-1">
+                          <Label className="text-xs text-gray-600">Material</Label>
+                          <Select value={templateForm.material} onValueChange={(v) => setTemplateForm((f) => ({ ...f, material: v }))}>
+                            <SelectTrigger className="h-9 text-sm"><SelectValue placeholder="Select…" /></SelectTrigger>
+                            <SelectContent>{MATERIALS.map((m) => <SelectItem key={m} value={m}>{m}</SelectItem>)}</SelectContent>
+                          </Select>
+                        </div>
+                        <div className="col-span-2 space-y-1">
+                          <Label className="text-xs text-gray-600">Instructions</Label>
+                          <Textarea placeholder="Standard instructions for this lab…" value={templateForm.instructions} onChange={(e) => setTemplateForm((f) => ({ ...f, instructions: e.target.value }))} className="text-sm resize-none" rows={3} />
+                        </div>
+                      </div>
+                    </div>
+                  </div>
+                  <div className="bg-gray-50 border-t px-4 py-3 flex gap-2">
+                    <Button size="sm" onClick={handleSaveTemplate} disabled={isSaving}>
+                      <Check className="h-3.5 w-3.5 mr-1" />{isSaving ? "Saving…" : "Save Template"}
+                    </Button>
+                    <Button size="sm" variant="outline" onClick={() => { setShowTemplateForm(false); setEditingTemplateId(null); setTemplateForm(EMPTY_TEMPLATE); }} disabled={isSaving}>
+                      <X className="h-3.5 w-3.5 mr-1" /> Cancel
+                    </Button>
+                  </div>
+                </div>
+              )}
+
+              {isLoading ? (
+                <p className="text-sm text-gray-400 py-4 text-center">Loading…</p>
+              ) : templates.length === 0 ? (
+                <p className="text-sm text-gray-400 py-8 text-center">No templates yet. Click "Add Template" to create one.</p>
+              ) : (
+                <div className="space-y-2">
+                  {templates.map((t, index) => (
+                    <div key={t.id} className="border rounded-lg p-3 bg-white flex items-center gap-2">
+                      <div className="flex flex-col shrink-0">
+                        <Button
+                          variant="ghost" size="icon" className="h-6 w-6 text-gray-400 hover:text-gray-700 disabled:opacity-20"
+                          disabled={index === 0 || reorderMutation.isPending}
+                          onClick={() => moveTemplate(index, "up")}
+                        >
+                          <ChevronUp className="h-4 w-4" />
+                        </Button>
+                        <Button
+                          variant="ghost" size="icon" className="h-6 w-6 text-gray-400 hover:text-gray-700 disabled:opacity-20"
+                          disabled={index === templates.length - 1 || reorderMutation.isPending}
+                          onClick={() => moveTemplate(index, "down")}
+                        >
+                          <ChevronDown className="h-4 w-4" />
+                        </Button>
+                      </div>
+                      <div className="flex-1 min-w-0">
+                        <p className="font-medium text-sm text-gray-900">{t.name}</p>
+                        {t.labName && <p className="text-xs text-gray-500">{t.labName}</p>}
+                        <div className="flex flex-wrap gap-x-4 gap-y-0.5 text-xs text-gray-400 mt-0.5">
+                          {t.caseType && <span>Case: {t.caseType}</span>}
+                          {t.material && <span>Material: {t.material}</span>}
+                          {t.labPhone && <span>Ph: {t.labPhone}</span>}
+                        </div>
+                      </div>
+                      <div className="flex items-center gap-1 shrink-0">
+                        <Button variant="ghost" size="icon" className="h-7 w-7" onClick={() => openEditTemplate(t)}>
+                          <Pencil className="h-3.5 w-3.5 text-gray-500" />
+                        </Button>
+                        <Button variant="ghost" size="icon" className="h-7 w-7" onClick={() => deleteMutation.mutate(t.id)} disabled={deleteMutation.isPending}>
+                          <Trash2 className="h-3.5 w-3.5 text-red-500" />
+                        </Button>
+                      </div>
+                    </div>
+                  ))}
+                </div>
+              )}
+            </TabsContent>
+          </Tabs>
+        </DialogContent>
+      </Dialog>
+
+      {/* RX popup */}
+      <Dialog open={!!rxTemplate} onOpenChange={(v) => { if (!v) setRxTemplate(null); }}>
+        <DialogContent className="max-w-2xl max-h-[90vh] overflow-y-auto">
+          <DialogHeader>
+            <DialogTitle className="flex items-center gap-2">
+              <Printer className="h-5 w-5" />
+              Lab RX — {rxTemplate?.name}
+            </DialogTitle>
+          </DialogHeader>
+
+          {rxTemplate && (
+            <>
+              <div className="space-y-5 py-2">
+
+                {/* Tooth Number section */}
+                <div className="space-y-2">
+                  <div className="flex items-center gap-2">
+                    <p className="text-xs font-bold uppercase tracking-widest text-blue-600">Tooth Number</p>
+                    <div className="flex-1 h-px bg-blue-100" />
+                  </div>
+                  <div className="grid grid-cols-2 gap-3">
+                    <div className="space-y-1">
+                      <Label className="text-xs text-gray-600">Tooth Number(s)</Label>
+                      <Input placeholder="e.g. 3, 14, 19" value={rx.toothNumbers} onChange={(e) => setRx((r) => ({ ...r, toothNumbers: e.target.value }))} className="h-9 text-sm" />
+                    </div>
+                    <div className="space-y-1">
+                      <Label className="text-xs text-gray-600">Shade</Label>
+                      <Input placeholder="e.g. A2, B1" value={rx.shade} onChange={(e) => setRx((r) => ({ ...r, shade: e.target.value }))} className="h-9 text-sm" />
+                    </div>
+                    <div className="space-y-1">
+                      <Label className="text-xs text-gray-600">Due Date</Label>
+                      <Input type="date" value={rx.dueDate} onChange={(e) => setRx((r) => ({ ...r, dueDate: e.target.value }))} className="h-9 text-sm" />
+                    </div>
+                    <div className="space-y-1">
+                      <Label className="text-xs text-gray-600">Doctor's Name</Label>
+                      <Select value={rx.doctorName} onValueChange={(v) => setRx((r) => ({ ...r, doctorName: v }))}>
+                        <SelectTrigger className="h-9 text-sm">
+                          <SelectValue placeholder="Select provider…" />
+                        </SelectTrigger>
+                        <SelectContent>
+                          {providers.map((p) => (
+                            <SelectItem key={p.id} value={p.providerName}>{p.providerName}</SelectItem>
+                          ))}
+                        </SelectContent>
+                      </Select>
+                    </div>
+                  </div>
+                </div>
+
+                {/* Instructions section */}
+                <div className="space-y-2">
+                  <div className="flex items-center gap-2">
+                    <p className="text-xs font-bold uppercase tracking-widest text-gray-500">Instructions</p>
+                    <div className="flex-1 h-px bg-gray-200" />
+                  </div>
+                  {rxTemplate.instructions && (
+                    <div className="rounded-md bg-gray-50 border px-3 py-2 text-xs text-gray-600 whitespace-pre-wrap">
+                      <span className="font-medium text-gray-400 block mb-1">From template</span>
+                      {rxTemplate.instructions}
+                    </div>
+                  )}
+                  <div className="space-y-1">
+                    <Label className="text-xs text-gray-600">Additional Notes</Label>
+                    <Textarea placeholder="Any extra instructions for this case…" value={rx.additionalNotes} onChange={(e) => setRx((r) => ({ ...r, additionalNotes: e.target.value }))} className="text-sm resize-none" rows={3} />
+                  </div>
+                </div>
+
+                {/* RX preview */}
+                <div className="border rounded-lg p-4 bg-gray-50 text-sm space-y-3">
+                  <div className="text-center border-b pb-3">
+                    <p className="font-bold text-base">Dental Lab Prescription</p>
+                    <p className="text-xs text-gray-500">
+                      Date: {today}{rx.dueDate ? ` · Due: ${new Date(rx.dueDate + "T00:00").toLocaleDateString("en-US")}` : ""}
+                    </p>
+                  </div>
+                  <div className="grid grid-cols-2 gap-x-6 gap-y-1">
+                    <div><span className="text-gray-400 text-xs">Patient</span><p className="font-medium">{patientName}</p></div>
+                    <div><span className="text-gray-400 text-xs">DOB</span><p>{patient.dateOfBirth ? new Date(patient.dateOfBirth).toLocaleDateString("en-US") : "—"}</p></div>
+                    <div className="col-span-2 mt-1 border-t pt-2"><span className="text-gray-400 text-xs">Lab</span><p className="font-medium">{rxTemplate.labName || "—"}</p></div>
+                    <div><span className="text-gray-400 text-xs">Phone</span><p>{rxTemplate.labPhone || "—"}</p></div>
+                    {rxTemplate.labFax && <div><span className="text-gray-400 text-xs">Fax</span><p>{rxTemplate.labFax}</p></div>}
+                    {rxTemplate.labAddress && <div className="col-span-2"><span className="text-gray-400 text-xs">Address</span><p>{rxTemplate.labAddress}</p></div>}
+                    {rxTemplate.labAccount && <div><span className="text-gray-400 text-xs">Account #</span><p>{rxTemplate.labAccount}</p></div>}
+                    <div className="col-span-2 mt-1 border-t pt-2 grid grid-cols-2 gap-x-6">
+                      <div><span className="text-gray-400 text-xs">Case Type</span><p>{rxTemplate.caseType || "—"}</p></div>
+                      <div><span className="text-gray-400 text-xs">Material</span><p>{rxTemplate.material || "—"}</p></div>
+                      <div><span className="text-gray-400 text-xs">Tooth #</span><p>{rx.toothNumbers || "—"}</p></div>
+                      <div><span className="text-gray-400 text-xs">Shade</span><p>{rx.shade || "—"}</p></div>
+                      {rx.doctorName && <div><span className="text-gray-400 text-xs">Doctor</span><p>{rx.doctorName}</p></div>}
+                    </div>
+                    {(rxTemplate.instructions || rx.additionalNotes) && (
+                      <div className="col-span-2 mt-1 border-t pt-2">
+                        <span className="text-gray-400 text-xs">Instructions</span>
+                        <p className="whitespace-pre-wrap text-xs mt-1 text-gray-700">
+                          {[rxTemplate.instructions, rx.additionalNotes].filter(Boolean).join("\n\n")}
+                        </p>
+                      </div>
+                    )}
+                  </div>
+                </div>
+
+              </div>
+
+              {/* Hidden print DOM */}
+              <div className="hidden">
+                <div ref={printRef}>
+                  <h1>Dental Lab Prescription</h1>
+                  <div className="subtitle">
+                    Date: {today}{rx.dueDate ? ` · Due: ${new Date(rx.dueDate + "T00:00").toLocaleDateString("en-US")}` : ""}
+                  </div>
+                  <hr />
+                  <div className="section">
+                    <div className="section-title">Patient Information</div>
+                    <div className="row">
+                      <div className="field"><label>Patient Name</label><span>{patientName}</span></div>
+                      <div className="field"><label>Date of Birth</label><span>{patient.dateOfBirth ? new Date(patient.dateOfBirth).toLocaleDateString("en-US") : ""}</span></div>
+                    </div>
+                  </div>
+                  <div className="section">
+                    <div className="section-title">Dental Lab</div>
+                    <div className="row">
+                      <div className="field"><label>Lab Name</label><span>{rxTemplate.labName ?? ""}</span></div>
+                      <div className="field"><label>Account #</label><span>{rxTemplate.labAccount ?? ""}</span></div>
+                    </div>
+                    <div className="row">
+                      <div className="field"><label>Phone</label><span>{rxTemplate.labPhone ?? ""}</span></div>
+                      <div className="field"><label>Fax</label><span>{rxTemplate.labFax ?? ""}</span></div>
+                    </div>
+                    <div className="row">
+                      <div className="field"><label>Address</label><span>{rxTemplate.labAddress ?? ""}</span></div>
+                    </div>
+                  </div>
+                  <div className="section">
+                    <div className="section-title">Prescription Details</div>
+                    <div className="row">
+                      <div className="field"><label>Case Type</label><span>{rxTemplate.caseType ?? ""}</span></div>
+                      <div className="field"><label>Material</label><span>{rxTemplate.material ?? ""}</span></div>
+                    </div>
+                    <div className="row">
+                      <div className="field"><label>Tooth Number(s)</label><span>{rx.toothNumbers}</span></div>
+                      <div className="field"><label>Shade</label><span>{rx.shade}</span></div>
+                    </div>
+                    <div className="row">
+                      <div className="field"><label>Doctor's Name</label><span>{rx.doctorName}</span></div>
+                    </div>
+                  </div>
+                  <div className="section">
+                    <div className="section-title">Instructions</div>
+                    <div className="instructions-box">
+                      {[rxTemplate.instructions, rx.additionalNotes].filter(Boolean).join("\n\n")}
+                    </div>
+                  </div>
+                  <div className="sig-area">
+                    <div className="sig-line">Doctor Signature</div>
+                    <div className="sig-line">Date</div>
+                  </div>
+                </div>
+              </div>
+            </>
+          )}
+
+          <DialogFooter>
+            <Button variant="outline" onClick={() => setRxTemplate(null)}>Close</Button>
+            <Button onClick={handlePrint} className="gap-2">
+              <Printer className="h-4 w-4" /> Print Lab RX
+            </Button>
+          </DialogFooter>
+        </DialogContent>
+      </Dialog>
+    </>
+  );
+}